Controlled substance prescriptions
Starting January 1, 2020, OptumRx® is changing how it accepts controlled substance prescriptions. Your doctor must send these to us electronically through a certified system.
OptumRx will contact your doctor to help them send controlled substance prescriptions electronically, if they don’t already do so. Here are some common questions about this change.
Q: How do I know if my prescription is a controlled medication?
A: Controlled substance prescriptions are regulated based upon their medical use, potential for abuse, and safety. You can check with your pharmacist, doctor, or click the link below to verify if your medication is controlled.
https://www.dea.gov/controlled-substances-act
Q: What do I have to do before January 1, 2020?
A: Please talk with your doctor before then to make sure you do not fall behind on your prescription fills. Check with your doctor to make sure they can send electronic prescriptions for controlled substances to the OptumRx® home delivery pharmacy.
Q: Will OptumRx also tell my doctor about this change?
A: Yes. OptumRx will reach out to your doctor about this change.
Q: Why does OptumRx want my doctor to send controlled substance prescriptions electronically starting on January 1, 2020?
A: OptumRx is leading the charge to fight the opioid crisis with safer and more secure ways to send prescriptions. Our goal is to help you, your doctor, and our country safely use these powerful medications.
Q: After January 1st, 2020, can my doctor submit my controlled substance prescription to OptumRx home delivery just like any other prescription?
A: No. Your doctor must send prescriptions for controlled substances to us through a certified electronic system. Paper or fax prescriptions will not be accepted. Talk about this change with your doctor to make sure they are able to send these prescriptions to us electronically.
Q: Does this apply to all members?
A: No. This does not apply to members residing in Alaska, Guam, Puerto Rico, and the US Virgin Islands, or members that reside in nursing homes or are in hospice.
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